| NPI | 1558579375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 31018) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: GA 060347) |
| 207U00000X Nuclear Medicine (Licence: AL 31018) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2026-06-15 |